Based on observation, interview, and record review, the facility failed to ensure lunch was served during the routine scheduled mealtime according to the facility's policy and procedures (P&P) titled, Food and Nutrition Services, last revised 3/2026, and, Food and Nutrition Services/Meal Delivery, last revised 3/2026. This failure had the potential for 35 out of 37 residents, who consume food prepared by the facility's kitchen, to experience negative health outcomes such as low blood sugar and negative feelings of hunger, frustration, and a loss of appetite.Findings: During a review of the facility's mealtime schedule titled, Dining Hours, undated, the mealtime schedule indicated lunch is served at 12:00 PM. …
F809 citations in California
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F809 less often than its own record predicts
0.40 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F809.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F809 findings written in California, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview, medical record review, facility document review, and facility P&P review, the facility failed to offer or provide a nourishing snack to one of three sampled residents (Resident 1). This failure had the potential to negatively impact the resident's well-being. Findings: Review of the facility's P&P titled Nutritional Management revised 12/19/22, showed the monitoring of the resident's condition and care plan interventions will occur on an ongoing basis. Examples of monitoring include interviewing the resident and/or resident representative to determine if their personal goals and preferences are being met. On 3/5/24 at 1223 hours, a telephone interview was conducted with Family Member A. Family Member A stated she was in the facility on 2/28/24, visiting Resident 1. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.07% | 0.31× |
| 2024 | 0.06% | 0.27× |
| 2025 | 0.08% | 0.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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